How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,514 to $11,482Professionalmedian $646 · 10th to 90th $407 to $2,089
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,445.44 | Professional | None | $251.19 | $251.19 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,762.47 Median $10,471.29 Typical High $20,892.96 | Facility | None | $7,762.47 | $10,471.29 | $20,892.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $6,309.57 | Professional | None | $4,570.88 | $4,897.79 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,884.03 Typical High $5,888.44 | Facility | None | $1,096.48 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $776.25 | Professional | None | $501.19 | $660.69 | $776.25 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $17,782.79 | Facility | None | $1,445.44 | $3,715.35 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $2,089.30 | Professional | None | $407.38 | $676.08 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $851.14 | Professional | None | $501.19 | $724.44 | $851.14 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $4,265.80 Typical High $6,760.83 | Facility | None | $1,096.48 | $4,265.80 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $851.14 | Professional | None | $501.19 | $616.60 | $851.14 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,317.64 | Facility | None | $1,698.24 | $3,801.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $758.58 | Professional | None | $407.38 | $616.60 | $758.58 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | 54 · Surgery only | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $30.90 |
Where Nebraska sits
The same service costs 10.4 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
WY $8,979MT $863
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.